IndividualActive
Anita Waterman, LICSWA
NPI 1487212239 · Clinical Social Worker · Cusick, WA
Provider details
- NPI number
- 1487212239
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSWA
- Sex
- Female
- Sole proprietor
- No
- License
- SC61473466 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1821 N. Leclerc Rd
Cusick, WA 99119
Phone: (509) 447-7111
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5055
Newport, WA 99156-5055
Registry dates
- Enumerated
- 2019-06-05
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.